Evidence map›Paper›PMID 36729776›Full record

ArticleNeurosurgery2023

A Sensorised Surgical Glove to Analyze Forces During Neurosurgery.

Hugo Layard Horsfall, Carmen Salvadores Fernandez, Biswajoy Bagchi, Priyankan Datta, Priya Gupta, Chan Hee Koh, Danyal Khan, William Muirhead, Adrien Desjardins, Manish K Tiwari and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Neurosurgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Design and Performance of a Neurosurgery Assisting Device.Biomimetics (Basel, Switzerland) · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 2 countries.

Hugo Layard HorsfallVictor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0001-7848-5325
Carmen Salvadores FernandezWellcome/EPSRC Centre for Interventional and Surgical Sciences, University College London, London, UK.
Biswajoy BagchiWellcome/EPSRC Centre for Interventional and Surgical Sciences, University College London, London, UK.
Priyankan DattaWellcome/EPSRC Centre for Interventional and Surgical Sciences, University College London, London, UK.
Priya GuptaWellcome/EPSRC Centre for Interventional and Surgical Sciences, University College London, London, UK.
Chan Hee KohVictor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.
Danyal KhanVictor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.
William MuirheadVictor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.
Adrien DesjardinsWellcome/EPSRC Centre for Interventional and Surgical Sciences, University College London, London, UK.
Manish K TiwariWellcome/EPSRC Centre for Interventional and Surgical Sciences, University College London, London, UK.
Hani J MarcusVictor Horsley Department of Neurosurgery, National Hospital for Neurology and Neurosurgery, London, UK.
Wellcome / EPSRC Centre for Interventional and Surgical Sciences · GBZero to Three · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMeasuring intraoperative forces in real time can provide feedback mechanisms to improve patient safety and surgical training. Previous force monitoring has been achieved through the development of specialized and adapted instruments or use designs that are incompatible with neurosurgical workflow.

objectiveTo design a universal sensorised surgical glove to detect intraoperative forces, applicable to any surgical procedure, and any surgical instrument in either hand.

methodsWe created a sensorised surgical glove that was calibrated across 0 to 10 N. A laboratory experiment demonstrated that the sensorised glove was able to determine instrument-tissue forces. Six expert and 6 novice neurosurgeons completed a validated grape dissection task 20 times consecutively wearing the sensorised glove. The primary outcome was median and maximum force (N).

resultsThe sensorised glove was able to determine instrument-tissue forces reliably. The average force applied by experts (2.14 N) was significantly lower than the average force exerted by novices (7.15 N) ( P = .002). The maximum force applied by experts (6.32 N) was also significantly lower than the maximum force exerted by novices (9.80 N) ( P = .004). The sensorised surgical glove's introduction to operative workflow was feasible and did not impede on task performance.

conclusionWe demonstrate a novel and scalable technique to detect forces during neurosurgery. Force analysis can provide real-time data to optimize intraoperative tissue forces, reduce the risk of tissue injury, and provide objective metrics for training and assessment.

Indexed as

NeurosurgeryClinical CompetenceGloves, SurgicalHumansNeurosurgical Procedures

Identifiers

PMID36729776
PMCPMC10508368
OpenAlexW4318925686

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.